Do urodynamic parameters predict persistent postoperative stress incontinence after midurethral sling? A systematic review

2012 ◽  
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Author(s):  
Amie Kawasaki ◽  
Jennifer M. Wu ◽  
Cindy L. Amundsen ◽  
Alison C. Weidner ◽  
John P. Judd ◽  
...  
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2019 ◽  
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Javier C. Angulo ◽  
Sandra Schönburg ◽  
Alessandro Giammò ◽  
Francisco J. Abellán ◽  
Ignacio Arance ◽  
...  

2009 ◽  
Vol 21 (2) ◽  
pp. 149-155 ◽  
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Kobi Stav ◽  
Peter L. Dwyer ◽  
Anna Rosamilia ◽  
Lore Schierlitz ◽  
Yik N. Lim ◽  
...  

Author(s):  
Deepali Maheshwari ◽  
Ellen Solomon

The OPUS (Outcomes Following Vaginal Prolapse Repair and Midurethral Sling) trial examined the effect of a prophylactic midurethral sling at the time of vaginal prolapse surgery in women without stress urinary incontinence. Women undergoing surgery for pelvic organ prolapse are at risk for developing postoperative stress urinary incontinence even if they do not complain of it preoperatively. This was a randomized controlled trial with intervention patients in the prophylactic midurethral sling group and control patients in the sham group. The authors identified a lower rate of de novo urinary incontinence at 3 and 12 months in women who received a prophylactic midurethral sling at the time of vaginal prolapse surgery. However, they also found higher rates of adverse events. This study provides valuable information for patient counseling and surgical decision-making with respect to concurrent prolapse and incontinence surgeries.


Author(s):  
Giulia I. Lane ◽  
Colby A. Dixon ◽  
M. Louis Moy ◽  
Cynthia S. Fok

This chapter summarizes the results of the Trial of Mid Urethral Slings (TOMUS), in which women with stress urinary incontinence were randomized to a retropubic midurethral sling versus a transobturator sling. Bladder perforations and voiding dysfunction occurred only in the retropubic sling group; neurologic symptoms (weakness and numbness) were significantly more common in the transobturator group. Both objective and subjective measures of treatment success at 12 months were similar. Based on this and subsequent studies, retropubic and transobturator midurethral sling approaches appear to have similar outcomes at 12 months for the treatment of stress urinary incontinence. However, the approaches differ in their adverse-event profiles.


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